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| HONORARY PROFESSOR McNICHOLAS |
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Trauma Surgery Elective Orthopaedic Surgery l Trauma Surgery Trauma Surgery I have been able to use my pre-fellowship training in neurosurgery; plastic surgery and ITU in the management of multiply injured patients. All my posts since fellowship have given me wide exposure to the surgical management of limb trauma. I have experience of the treatment of pelvic trauma by external fixation both in the acute phase and as definitive treatment and also open reduction and internal fixation (ORIF) when required. I have managed patients with spinal column injury both conservatively and operatively using a number of fixation modalities including pedicle screw fixation systems. I have experience of the surgical management of back pain, cervical and lumbar radicular pain and cauda equina syndrome. I have treated childrens’ fractures by conservative means and operatively using Metaizeau wiring techniques, ORIF, and external fixation by monolateral and circular frames. In hand trauma I have used microsurgical techniques
for nerve and vessel repairs, carried out extensor and flexor tendon
repairs dealt with pneumatic injection injuries and used percutaneous
wiring techniques, ORIF using the AO minifragment set and scaphoid
internal fixation systems, and used various external fixation systems I have been trained in the treatment of long bone fractures, including juxta-articular fractures, using conservative measures, external fixation by circular frames, hybrid systems, and monolateral frames, ORIF, minimally invasive percutaneous plate osteosynthesis (MIPPO), transarticular retrograde plate osteosynthesis (TARPO) and a number of intramedullary nailing systems as dictated by the personality of the fracture. I have been trained in primary and secondary amputation surgery and prosthetic treatment. I have managed fractures of the clavicle and calcaneum operatively when indicated. I have had training in the use of various internal and external fixation methods for salvage of complicated fixation failures, treatment of non-union, and deformity correction. www.mcnicholaskneeclinic.co.uk
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